Implementing a Novel Guideline to Prevent Hospital-Acquired Pressure Ulcers in a Trauma Population: A Patient-Safety Approach

Lam, Chi‐Ming; Elkbuli, Adel; Benson, Brenda; Young, Elizabeth; Morejon, Orlando; Boneva, Dessy; Hai, Shaikh; McKenney, Mark

doi:10.1016/j.jamcollsurg.2018.03.027

Cited by 7 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Resultsmentioning

confidence: 99%

“…Most studies were conducted in the United States (Anderson et al, 2015; Arnold & Weir, 1994; Boyle et al, 2017; Irvin et al, 2017; Lam et al, 2018; McGuinness et al, 2012; Padula et al, 2019; Westra et al, 2013), followed by Japan (Kaitani et al, 2015a; Kaitani et al 2015b; Sanada et al, 2010), Korea (Lee, 2017) and Australia (Vu et al, 2007). Settings included hospitals (Anderson et al, 2015; Boyle et al, 2017; Irvin et al, 2017; Kaitani et al, 2015a; Kaitani et al 2015b; Lam et al, 2018; McGuinness et al, 2012; Padula et al, 2019; Sanada et al, 2010), community settings (Irvin et al, 2017; Lee, 2017; Westra et al, 2013) and nursing homes (Arnold & Weir, 1994; Vu et al, 2007). Five studies were retrospective (Arnold & Weir, 1994; Boyle et al, 2017; Irvin et al, 2017; Lee, 2017; Padula et al, 2019), five had a prospective design (Kaitani et al, 2015a; Kaitani et al 2015b; McGuinness et al, 2012; Sanada et al, 2010; Westra et al, 2013), two were quasi‐experimental (Anderson et al, 2015; Lam et al, 2018) and one was a pseudo‐randomised trial (Vu et al, 2007).…”

Section: Resultsmentioning

confidence: 99%

“…Settings included hospitals (Anderson et al, 2015; Boyle et al, 2017; Irvin et al, 2017; Kaitani et al, 2015a; Kaitani et al 2015b; Lam et al, 2018; McGuinness et al, 2012; Padula et al, 2019; Sanada et al, 2010), community settings (Irvin et al, 2017; Lee, 2017; Westra et al, 2013) and nursing homes (Arnold & Weir, 1994; Vu et al, 2007). Five studies were retrospective (Arnold & Weir, 1994; Boyle et al, 2017; Irvin et al, 2017; Lee, 2017; Padula et al, 2019), five had a prospective design (Kaitani et al, 2015a; Kaitani et al 2015b; McGuinness et al, 2012; Sanada et al, 2010; Westra et al, 2013), two were quasi‐experimental (Anderson et al, 2015; Lam et al, 2018) and one was a pseudo‐randomised trial (Vu et al, 2007). Six studies involved specialised nurses in wound, ostomy and continence care (Anderson et al, 2015; Boyle et al, 2017; Kaitani et al, 2015a; Kaitani et al 2015b; Sanada et al, 2010; Westra et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies (Arnold & Weir, 1994; McGuinness et al, 2012) used a team of nurses specialised in skin and wound assessment (SWAT) and enterostomal therapy (ET). Two studies declared the employment of advanced practice nurses (APRN) (Irvin et al, 2017; Lee, 2017) and two studies (Lam et al, 2018; Vu et al, 2007) described the participation of expert nurses who acquired the wound care skills through an advanced specific course.…”

Section: Resultsmentioning

confidence: 99%

“…Follow‐up time ranged from 3 weeks to 72 months, with shorter periods pertaining by two prospective studies (Kaitani et al, 2015b; Sanada et al, 2010). Outcomes described were PUs/Hospital‐Acquired Pressure Ulcers (HAPUs) incidence rate (Anderson et al, 2015; Boyle et al, 2017; Irvin et al, 2017; Lam et al, 2018; Padula et al, 2019), PUs healing rate (Arnold & Weir, 1994; Kaitani et al, 2015b; Lee, 2017; Sanada et al, 2010; Vu et al, 2007), time to PUs’ complete healing (Arnold & Weir, 1994; Lee, 2017; Vu et al, 2007), change in PUs stage over time (Lee, 2017), number of healed PUs (Arnold & Weir, 1994; Vu et al, 2007), economic outcomes (Kaitani et al, 2015a; Sanada et al, 2010; Vu et al, 2007) and patient discomfort (Kaitani et al, 2015b). Main characteristics of the included studies are reported in Table 4.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Outcomes of wound care nurses’ practice in patients with pressure ulcers: An integrative review

Monaco

Iovino

Lommi

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Background Wound care nurses are recognised as a key element for improving health outcomes. However, there is still fragmented knowledge of the outcomes associated with their practice in individuals with pressure ulcers. Aims and objectives To identify, summarise and map all available evidence related to the outcomes of wound care nurses’ practice in individuals with pressure ulcers. Design Integrative literature review. Review method To report the review, we followed the modified version of Cooper's five‐step methodology, and the PRISMA guidelines. Methods The search was carried out on CINAHL, PubMed, the Cochrane Library and Scopus, with a time frame ranging from each database inception to December 21, 2019. We included observational or experimental studies of adult individuals affected by (or at risk of) developing pressure ulcers who were also cared for by wound care nurses. Results Of the 439 peer‐reviewed publications, 13 studies met the inclusion criteria. The most frequent outcomes were pressure ulcer incidence, healing rate and time taken for complete healing. Less frequent outcomes were changes in pressure ulcers’ stage, number of completely healed wounds, treatment costs and physical discomfort. No patient‐reported outcomes were assessed. Conclusion This review indicates that clinical‐related outcomes were by far the most reported. Future studies should broaden the spectrum of outcomes to include more subjective parameters (e.g. pain, quality of life, stress, etc.), in order to gain a better understanding of the global impact of wound care practice on patients with pressure ulcers. Relevance to clinical practice There is promising evidence of a positive impact of wound care nurses’ practice on health and economic outcomes. Nonetheless, more robust and rigorous research is needed to provide stronger evidence in the field and support investment in these practitioners.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Outcomes of wound care nurses’ practice in patients with pressure ulcers: An integrative review

Monaco

Iovino

Lommi

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

Pressure induced skin and soft tissue injury in the emergency department

Gamston

2019

Emerg Med J

View full text Add to dashboard Cite

The incidence of pressure ulcers or injuries is a global healthcare issue and in the top six most common adverse events in healthcare. Pressure injuries also are symptomatic of wider system failure and poor care. Recognition of these injuries and prevention strategies must start in the emergency department. This article will detail best practice in relation to both assessment of these injuries and their prevention in the emergency department.

show abstract

Understanding Preventable Deaths in the Geriatric Trauma Population: Analysis of 3,452,339 Patients From the Center of Medicare and Medicaid Services Database

Ang

Nieto

Sutherland

et al. 2021

The American Surgeon™

Self Cite

View full text Add to dashboard Cite

Background Patient safety indicators (PSIs) are avoidable complications that can impact outcomes. Geriatric patients have a higher mortality than younger patients with similar injuries, and understanding the etiology may help reduce mortality. We aim to estimate preventable geriatric trauma mortality in the United States and identify PSIs associated with increased preventable mortality. Methods A retrospective cohort study of patients aged ≥65 years, in the CMS database, 2017-second quarter of 2020. Risk-adjusted multivariable regression was performed to calculate observed-to-expected (O/E) mortality ratios for failure-to-prevent and failure-to-rescue PSIs with significance defined as P < .05. Results 3,452,339 geriatric patients were analyzed. Patients aged 75-84 years had 33% higher odds of preventable mortality (adjusted odds ratio [aOR] = 1.33 and 95% confidence interval [CI] = 1.31, 1.36), whereas patients aged ≥85 years had 91% higher odds of preventable mortality (aOR = 1.91 and 95% CI = 1.87, 1.94) compared to patients aged 65-74 years. Failure-to-prevent O/E were >1 for all PSIs evaluated with central line–related blood stream infection having a high O/E (747.93). Failure-to-rescue O/E were >1 for 10/11 (91%) PSIs with physiologic and metabolic derangements having the highest O/E (5.98). United States’ states with higher quantities of geriatric trauma patients experienced reduced preventable mortality. Conclusion Odds of preventable mortality increases with age. Perioperative venous thrombotic events, hemorrhage or hematoma, and postoperative physiologic/metabolic derangements produce significant preventable mortalities. United States’ states differ in their failure-to-prevent and failure-to-rescue PSIs. Utilization of national guidelines, minimization of central venous catheter use, addressing polypharmacy especially anticoagulation, ensuring operative and procedure-based competencies, and greater incorporation of inpatient geriatricians may serve to reduce preventable mortality in elderly trauma patients.

show abstract

Implementing a Novel Guideline to Prevent Hospital-Acquired Pressure Ulcers in a Trauma Population: A Patient-Safety Approach

Cited by 7 publications

References 20 publications

Outcomes of wound care nurses’ practice in patients with pressure ulcers: An integrative review

Outcomes of wound care nurses’ practice in patients with pressure ulcers: An integrative review

Pressure induced skin and soft tissue injury in the emergency department

Understanding Preventable Deaths in the Geriatric Trauma Population: Analysis of 3,452,339 Patients From the Center of Medicare and Medicaid Services Database

Contact Info

Product

Resources

About